Free Gracilis Transfer for Smile in Children

Hadlock, Tessa A.; Malo, Juan S.; Cheney, Mack L.; Henstrom, Douglas K.

doi:10.1001/archfacial.2011.29

Cited by 67 publications

(35 citation statements)

References 22 publications

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“…Since its original description, this questionnaire has been used in several studies showing patient satisfaction following treatment [9–12]. We wanted to implement this instrument in the Dutch-speaking population in the Netherlands, both because we want to use an instrument that covers both functional and psychosocial domains and also so that we may compare our treatment and recovery results with international results.…”

Section: Introductionmentioning

confidence: 99%

Quality of life assessment in facial palsy: validation of the Dutch Facial Clinimetric Evaluation Scale

Kleiss

Beurskens

Stalmeier

et al. 2015

Eur Arch Otorhinolaryngol

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This study aimed at validating an existing health-related quality of life questionnaire for patients with facial palsy for implementation in the Dutch language and culture. The Facial Clinimetric Evaluation Scale was translated into the Dutch language using a forward–backward translation method. A pilot test with the translated questionnaire was performed in 10 patients with facial palsy and 10 normal subjects. Finally, cross-cultural adaption was accomplished at our outpatient clinic for facial palsy. Analyses for internal consistency, test–retest reliability, construct validity and responsiveness were performed. Ninety-three patients completed the Dutch Facial Clinimetric Evaluation Scale, the Dutch Facial Disability Index, and the Dutch Short Form (36) Health Survey. Cronbach’s α, representing internal consistency, was 0.800. Test–retest reliability was shown by an intraclass correlation coefficient of 0.737. Correlations with the House–Brackmann score, Sunnybrook score, Facial Disability Index physical function, and social/well-being function were −0.292, 0.570, 0.713, and 0.575, respectively. The SF-36 domains correlate best with the FaCE social function domain, with the strongest correlation between the both social function domains (r = 0.576). The FaCE score did statistically significantly increase in 35 patients receiving botulinum toxin type A (P = 0.042, Student t test). The domains ‘facial comfort’ and ‘social function’ improved statistically significantly as well (P = 0.022 and P = 0.046, respectively, Student t-test). The Dutch Facial Clinimetric Evaluation Scale shows good psychometric values and can be implemented in the management of Dutch-speaking patients with facial palsy in the Netherlands. Translation of the instrument into other languages may lead to widespread use, making evaluation and comparison possible among different providers.

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Section: Introductionmentioning

confidence: 99%

Quality of life assessment in facial palsy: validation of the Dutch Facial Clinimetric Evaluation Scale

Kleiss

Beurskens

Stalmeier

et al. 2015

Eur Arch Otorhinolaryngol

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“…Only 4 of these articles met the criteria of using both procedures, and presenting full descriptive statistics and were thus included in the forest plot analysis. 6 , 19 , 35 The studies of Hontanilla et al 19 and Snyder-Warwick et al 11 presented P values less than 0.05. The meta-analysis showed an advantage in excursion when using 1-stage procedures, but the difference was not statistically significant.…”

Section: Discussionmentioning

confidence: 95%

Qualitative and Quantitative Analysis of Smile Excursion in Facial Reanimation: A Systematic Review and Meta-analysis of 1- versus 2-stage Procedures

Natghian

Fransén

Rozen

et al. 2017

Plastic and Reconstructive Surgery - Global Open

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Background:Free functional muscle transfer has become a common treatment modality for smile restoration in long-lasting facial paralysis, but the selection of surgical strategy between a 1-stage and a 2-stage procedure has remained a matter of debate. The aim of this study was to compare the quantitative and qualitative outcomes of smile excursion between 1-stage and 2-stage free muscle transfers in the literature.Methods:A comprehensive review of the published literature between 1975 and end of January 2017 was conducted.Results:The abstracts or titles of 2,743 articles were screened. A total of 24 articles met our inclusion criteria of performing a quantitative or qualitative evaluation of a free-functioning muscle transfer for smile restoration. For the purpose of meta-analysis, 7 articles providing quantitative data on a total of 254 patients were included. When comparing muscle excursion between 1-stage and 2-stage procedures, the average range of smile excursion was 11.5 mm versus 6.6 mm, respectively. For the purpose of systematic review, 17 articles were included. The result of the systematic review suggested a tendency toward superior functional results for the 1-stage procedure when comparing the quality of smile.Conclusions:The results of this review must be interpreted with great caution. Quantitative analysis suggests that 1-stage procedures produce better excursion than 2-stage procedures. Qualitative analysis suggests that 1-stage procedures might also produce superior results when based on excursion and symmetry alone, but these comparisons do not include one important variable dictating the quality of a smile—the spontaneity of the smile. The difficulty in comparing published results calls for a consensus classification system for facial palsy.

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“…Although with less evidences, other rehabilitative approaches, such as physical therapy, biofeedback therapy, relaxation exercises with massages therapy, coordination and facial expression exercises, can reduce muscle stiffness, facilitating facial movements. Relatively to acupuncture and electrical nerve stimulation (in order to accelerate healing by stimulating muscle), there are still not enough data in the literature in order to [32] Ramsay Hunt syndrome Intravenous steroids as soon as possible 75% recovery at 6 mo if treated within 3 d from onset; 30% recovery at 6 mo if treated after 7 d from onset [36,44] Temporalis elongation mioplasty 80% recovery within 1 mo [38] Gracilis muscle microvascular free flap 89% recovery within 4-6 mo [45] Sural nerve grafting N/A Cross-facial nerve grafting 83% recovery within 1 yr [46] Rehabilitation approaches Botulinum toxin 100% recovery (temporary) [24] Physiotherapy Ciorba A et al . Facial palsy in children certify the real efficacy [15,[24][25][26][27] .…”

Section: Rehabilitation Approachesmentioning

confidence: 99%

Facial Nerve Paralysis in Children

Licameli¹,

Tunkel²

2013

Pediatric Otorhinolaryngology

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Facial nerve palsy is a condition with several implications, particularly when occurring in childhood. It represents a serious clinical problem as it causes significant concerns in doctors because of its etiology, its treatment options and its outcome, as well as in little patients and their parents, because of functional and aesthetic outcomes. There are several described causes of facial nerve paralysis in children, as it can be congenital (due to delivery traumas and genetic or malformative diseases) or acquired (due to infective, inflammatory, neoplastic, traumatic or iatrogenic causes). Nonetheless, in approximately 40%-75% of the cases, the cause of unilateral facial paralysis still remains idiopathic. A careful diagnostic workout and differential diagnosis are particularly recommended in case of pediatric facial nerve palsy, in order to establish the most appropriate treatment, as the therapeutic approach differs in relation to the etiology.

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Free Gracilis Transfer for Smile in Children

Cited by 67 publications

References 22 publications

Quality of life assessment in facial palsy: validation of the Dutch Facial Clinimetric Evaluation Scale

Quality of life assessment in facial palsy: validation of the Dutch Facial Clinimetric Evaluation Scale

Qualitative and Quantitative Analysis of Smile Excursion in Facial Reanimation: A Systematic Review and Meta-analysis of 1- versus 2-stage Procedures

Facial Nerve Paralysis in Children

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